DIF: s s Cognitive ssLevel: ssAnalyze ss(Analysis)
TOP: s s Nursing ssProcess: ssImplementation ss ss ss ss s s MSC: s s NCLEX: ssSafe ssand ssEffective ssCare
ssEnvironment
DIF: Cognitive ssLevel: ssUnderstand ss(Comprehension) TOP: s s Nursing ssProcess:
ssPlanningsMSC: s s NCLEX: ssSafe ssand ssEffective ssCare ssEnvironment
DIF: Cognitive ssLevel: ssUnderstand ss(Comprehension) TOP: s s Nursing ssProcess:
ssEvaluationsMSC: s s NCLEX: ssSafe ssand ssEffective ssCare ssEnvironment
DIF: ss ss s s Cognitive ssLevel: ssUnderstand ss(Comprehension) TOP: s s Nursing ssProcess:
ssEvaluationsMSC: s s NCLEX: ssSafe ssand ssEffective ssCare ssEnvironment
7. Which ssstatement ssdescribes ssthe sspurpose ssof ssthe ssassessment ssphase ssof ssthe ssnursing
ssprocess?
a. To ssteach ssinterventions ssthat ssrelieve sshealth ssproblems
b. To ssuse sspatient ssdata ssto ssevaluate sspatient sscare ssoutcomes
c. To ssobtain ssdata ssto ssdiagnose sspatient ssstrengths ssand ssproblems
d. To sshelp ssthe sspatient ssidentify ssrealistic ssoutcomes ssfor sshealth ssproblems
ANS: ss C
During ssthe ssassessment ssphase, ssthe ssnurse ssgathers ssinformation ssabout ssthe sspatient ssto
ssdiagnosespatient ssstrengths ssand ssproblems. ssThe ssother ssresponses ssare ssexamples ssof ssthe
ssplanning, ssintervention, ssand ssevaluation ssphases ssof ssthe ssnursing ssprocess.
DIF: Cognitive ssLevel: ssUnderstand ss(Comprehension)
TOP: s s Nursing ssProcess: ssAssessment MSC: s s NCLEX: ssSafe ssand ssEffective ssCare ssEnvironment
8. When ssdeveloping ssthe ssplan ssof sscare, sswhich sscomponents sswould ssthe ssnurse ssinclude ssin
ssthe ssclinicalsproblem ssstatement?
a. The ssproblem ssand ssthe sssuggested sspatient ssgoals ssor ssoutcomes
b. The ssproblem, ssits sscauses, ssand ssthe sssigns ssand sssymptoms ssof ssthe ssproblem
c. The ssproblem sswith ssthe sspossible ssetiology ssand ssthe ssplanned ssinterventions
d. The ssproblem, ssits sspathophysiology, ssand ssthe ssexpected ssoutcome
ANS: ss B
When sswriting ssclinical ssproblems ssor ssnursing ssdiagnoses, ssthe sssubjective ssas sswell ssas
ssobjective ssdata ssto sssupport ssthe ssproblem‗s ssexistence ssshould ssbe ssincluded. ssGoals,
ssoutcomes, ssand ssinterventions ssaresnot ssincluded ssin ssthe ssproblem ssstatement.
DIF: Cognitive ssLevel: ssUnderstand ss(Comprehension) TOP: s s Nursing ssProcess:
ssDiagnosissMSC: s s NCLEX: ssSafe ssand ssEffective ssCare ssEnvironment
DIF: Cognitive ssLevel: ssApply ss(Application) TOP: s s Nursing ssProcess:
ssPlanningsMSC: s s NCLEX: ssSafe ssand ssEffective ssCare ssEnvironment
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